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Chapter 10 - MR imaging of small and large bowel

Published online by Cambridge University Press:  05 August 2011

Ihab R. Kamel
Affiliation:
The Johns Hopkins University School of Medicine
Elmar M. Merkle
Affiliation:
Duke University School of Medicine, North Carolina
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Summary

Introduction

The bowel is an organ which was not easily and accurately assessable until the introduction of cross-sectional imaging and newer endoscopic techniques. The location, length, and bowel peristalsis were major hurdles which were first overcome by the introduction of conventional radiology. Barium follow-through examinations and conventional enteroclysis gave valuable information on the presence of stenoses and mucosal lesions while barium enema and double contrast barium enema were used primarily for detection of colorectal cancer and its precursors (adenomatous polyps). Disadvantages of these techniques were the lack of detailed information on both mural and extramural abnormalities and the resulting mediocre accuracy. Furthermore, the ionizing radiation exposure was a major drawback of these examinations especially as these often have to be repeated for treatment monitoring or screening of disease recurrence.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2011

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